Communicating bodily changes: Physicians' ways of enabling patient understanding in gastrointestinal cancer consultations

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Friberg, Febe,1950Gothenburg University,Göteborgs universitet,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),University of Gothenburg Centre for person-centred care (GPCC) (author)

Communicating bodily changes : Physicians' ways of enabling patient understanding in gastrointestinal cancer consultations

Article/chapterEnglish2015

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2015
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LIBRIS-ID:oai:DiVA.org:esh-3765
https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-3765URI
https://doi.org/10.1017/S1478951514000352DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:131489319URI
https://gup.ub.gu.se/publication/197545URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Objective: To explore how physicians communicatively enable patients' understanding of bodily changes in gastrointestinal cancer care consultations.Method: Two datasets were used. The first consisted of transcribed video-recorded palliative care consultations with three oncologists and six patients diagnosed with advanced gastrointestinal cancer, in the context of outpatient palliative care. The second dataset was audio-recorded transcriptions from diagnostic consultations with six surgeons and seven patients diagnosed with colorectal cancer, in the context of cancer surgery. An inductively driven and iterative analysis of interaction was performed, guided by Wetherell et al. (2001).Results: Two overarching communicative strategies were identified: (1) “visualizing strategies,” with the dimensions: visible strategies (visualizing with what you actually or potentially can see), sensory strategies (visualizing with what is possible to feel), and imaginative strategies; and (2) “contrasting strategies,” with the dimensions: contrasting subjective experiences and contrasting between the patient and other people.Significance of results: The visualizing and contrasting communicative strategies form parts of physicians' tacit and experience-based knowledge. The strategies employed by physicians reveal clear potentials to enable patients' understanding and sense making of bodily changes. However, these strategies need to be explicated and problematized as parts of both consultation practice and basic medical education. By means of increased awareness, physicians can more easily identify turning points in patients' levels of understanding, thereby enriching ordinary medical consultations with reflected pedagogical strategies and skills in how to dialogue in a person-centered manner.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
Bodily changes
Cancer
Communication
Medical consultations
Pedagogical strategies
Bodily changes;

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Lidén, Eva,1955Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institute of Health and Care Sciences,University of Gothenburg Centre for person-centred care (GPCC)(Swepub:gu)xlidev (author)
Håkanson, CeciliaErsta Sköndal högskola,Palliativt forskningscentrum, PFC,Ersta sjukhus; Karolinska institutet(Swepub:esh)cechak (author)
Öhlén, Joakim,1958-Gothenburg University,Göteborgs universitet,Ersta Sköndal högskola,Palliativt forskningscentrum, PFC,Ersta sjukhus; Göteborgs universitet,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för vårdvetenskap och hälsa,University of Gothenburg Centre for person-centred care (GPCC),Institute of Health and Care Sciences(Swepub:gu)xohlej (author)
Göteborgs universitetCentrum för personcentrerad vård vid Göteborgs universitet (GPCC) (creator_code:org_t)

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In:Palliative & Supportive Care13:03, s. 661-6711478-95151478-9523

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